Benefits of a Collaborative Approach Securing new funding for park and recreation agencies can be complicated. It requires dedicated staff time and expertise. Most agencies do not have the resources to contract with health insurers and fundraise for grants. Receiving insurance reimbursement can require upfront costs and full-time staff with an understanding of how to work with insurers, which can be complicated. Before the first insurance reimbursement claim is received, the park and recreation agency will need to contract with an insurer, follow compliance laws, and have the software and other tools to submit health insurance claims. Given the upfront costs, it might not be worth the time and effort for a community-based organization with a small adult physical activity program to contract individually with a health insurer. The reimbursement rate might not cover the staff and operational costs that are required to partner with an insurer — let alone cover the cost of the classes. Grant funding also has its challenges. Securing grants often requires dedicated staff who work on fundraising to identify funding opportunities. It takes time and regular engagement to cultivate relationships with donors. Once grants are awarded, grant managers need to monitor activities and funds and report on activities. One potential solution to deal with these challenges is to collaborate with other park and recreation agencies and local community-based organizations. Collaborating with other local partners means that every organization does not need specialized staff in grants management or in health insurance contracts, compliance and claims. Instead, staff time and operations costs would be centralized at one park and recreation agency or community-based organization that manages the relationship with the funders. That organization would oversee grants, contracts and reimbursements. The partners would share in the overhead costs to cover the agency’s expenses, which would come out of grant funding or an overhead fee as part of reimbursements from the insurer. The organization managing the grant or contract would disburse funds to other park and recreation agencies in the partnership. Operations costs would be shared by all participating programs — reducing duplication and inefficiencies. An additional benefit of partnering with other park and recreation agencies is it increases the number of people reached. This model appeals to funders, too. Insurers have said that contracting with one park and recreation agency for health and wellness classes would likely not be worth the effort given the small number of participants in classes and that not every person attending the class would be enrolled in their health insurance plan. Thus, reducing the incentives for health insurance companies to contract with them. A collaborative approach with other park and recreation agencies and community-based organizations makes it appealing to insurers by reaching a larger number of participants from a wide variety of locations. Similarly, having health and wellness classes hosted by partner organizations throughout a state or region would appeal to many large grant funders, because they would have a larger geographical reach and their funds could potentially have greater impact. Partnering on funding allows park and recreation agencies to share resources and costs while making it possible to engage more funders and bring in a diverse type of funding because agencies can share the costs of resources and staff. A collaborative approach opens the possibility of bringing in health insurance funds and grants to a park and recreation agency with just one class. In this model, that agency would not need to use staff time to fundraise, contract with insurers or process reimbursement claims. Instead, that agency could benefit from the partnership resources. Starting a funding partnership may seem daunting. This toolkit provides an example of a program that created a successful collaborative partnership for evidence-based physical activity classes. Additionally, this toolkit provides resources for other park and recreation agencies to start a funding partnership for evidence-based physical fitness classes for older adults.
Financing Health and Wellness Programs: A Toolkit for Park and Recreation Professionals | 7
